JIMMY SEUNG-SUP LEE

MAMMOTH LAKES, CA
NPI1689334930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  790804)
Enumeration Date2021-12-28
Last Update Date2021-12-28
Business Address
Mr. JIMMY SEUNG-SUP LEE
1290 TAVERN RD
MAMMOTH LAKES, CA 93546-6601
Phone number: 760-924-1740
Mailing Address
Mr. JIMMY SEUNG-SUP LEE
PO BOX 100 PMB 352
MAMMOTH LAKES, CA 93546
Phone number: 310-422-8005
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